Clinical reasoning is the cognitive process that is needed to evaluate and manage a patient’s medical problems. Using the universal model of diagnostic reasoning by Croskerry (2009), this lecture discusses on how our mind can toggle back and forth between a quick, fast thinking process and a slower, more analytical thinking process. If the clinical presentation is something that we are familiar with, we will employ predominantly the fast and quick thinking. If the clinical presentation is one that the clinician does not readily recognize (e.g. patient presenting with puzzling, novel symptoms), then the clinician will need to slow down and to be more analytical to think through the constellation of signs and symptoms.
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